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Herlambang
Universitas Bengkulu
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Journal : Althea Medical Journal

 1 
Profile of Apoptotic Marker Genes and Histopathology of the Placenta in Pregnancies with Pre-Eclampsia Herlambang, Herlambang; Enis, Rina Nofri; Tarawifa, Susan; Harahap, Huntari; Puspasari, Anggelia; Maharani, Citra; Kusdiyah, Erny
Althea Medical Journal Vol 10, No 2 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v10n2.3088

Abstract

Background: Pre-eclampsia (PE) is a hypertensive disorder in pregnancy and a significant cause of maternal and perinatal mortality and morbidity. Failure of spiral artery remodeling due to abnormal apoptosis, triggers disturbances in the mother and the baby’s growth. This study aimed to identify the profile of apoptotic marker genes and histopathological features of the placenta in pregnancies with pre-eclampsia.Methods: This study had used case-control method. Samples were taken from normal pregnancies (n=25) and pregnant women with pre-eclampsia (n=25) using a purposive sampling method from several hospitals in Jambi. qRT-PCR was used to examine apoptotic gene expression from placental tissue and hematoxyline eosin staining to view the placenta’s microscopic appearance. The targeted genes were BCL2-associated X (BAX) and B-cell lymphoma 2 (BCL-2). Histopathological changes of the placenta observed were syncytial node, cytotrophoblast, villous edema, hypervascularization, fibrosis stroma, atherosis, infarction, and thrombosis.Results: Relative BAX genes expression were increased once in placenta pre-eclampsia compared to controls, but not statistically significant (p-value>0.05). There was no difference between the decline of BCL-2 gene expression in pre-eclampsia placenta compared to the control (p-value >0.05). Histopathological changes in the placenta were syncytial node and cytotrophoblast (25 of 25), villous edema (19 of 25), hypervascularization (24 of 25), fibrosis stroma (22 of 25), atherosis (12 of 25), infarction (17 of 25), and thrombosis (24 of 25).Conclusion: The expression of BAX genes in pre-eclampsia tends to increase compared to normal pregnancy, and the expression of BCL-2 decreases.  The histopathological features of pre-eclampsia pregnancy placenta are mostly syncytial nodes, cytotrophoblasts, stromal fibrosis, and thrombosis.
Protein Insufficiency Among First-Trimester Pregnant Women in Jambi, Indonesia Herlambang, Herlambang; Puspasari, Anggelia; Maharani, Citra; Enis, Rina Nofri; Fitri, Amelia Dwi; Kusdiyah, Erny; Ibnu, Ismi Nurwaqiah
Althea Medical Journal Vol 12, No 2 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n2.4044

Abstract

Background: Insufficient protein intake or specific patterns of plasma amino acid levels during pregnancy has been associated with adverse maternal and neonatal outcomes. Studies in non-pregnant women have reported an association between protein intake and amino acid levels, however, data in pregnant women remain limited. Jambi, a region rich in freshwater fish, has a traditional dishes based on fish, which may affect maternal protein adequacy. This study aimed to assess protein sufficiency intake, plasma essential amino acid levels, and the relationship between fish consumption and protein intake among first-trimester pregnant women. Methods: A cross-sectional study was conducted in 2022 involving pregnant women at 9-16 weeks of gestation in Jambi, Indonesia, selected through purposive sampling. Protein intake and fish consumption data were collected using Food Frequency Questionnaires. Plasma essential amino acid levels were measured using Liquid Chromatography-Mass Spectrometry. Bivariate analyses were performed using Mann-Whitney and Chi-square tests.Results: Among 30 participants, 23.3% had insufficient protein intake and had lower plasma essential amino acid levels. Lysine levels showed a statistically significant difference between groups (p=0.010). Women with adequate protein intake reported significant higher fish consumption, particularly of freshwater fish (p=0.033).Conclusion: Adequate protein intake during early pregnancy is related to higher plasma essential amino acid levels. Consumption of local freshwater fish contributes to maintaining sufficient protein intake. These findings emphasize the importance of integrating healthy dietary patterns and locally sourced nutrient-rich foods into prenatal care to support maternal wellness and long-term health outcomes.
Co-Authors Abdul Hadi, Husni Adiromdani Adiromdani Adrian, Adek Ahmad Syauqy Ainul Mardiati Akbidita, Putri Amelia Dwi Fitri, Amelia Dwi Andry Harjanto, Andry Anggelia Puspasari Antory Royan Adyan Armaidi Darmawan Aryani, Puspa Muthia Asrial Ave Olivia Rahman Bridges, Jim W. Budi Handono Citra Maharani Davinsi Josie Sidabutar dewi, hasna Dheny Wahyudhi Dhita, Gigih Juang Dianisa, Giva Divanna, Diora Asha Doaly, Deutmar Londo Doaly, Thom Deutmar Londo Elfiani Elliyanti, Aisyah Elliyanti Erny Kusdiyah Eryati Darwin Esa Indah Ayu, Esa Indah Essy Octavia Faried, Leri S Farried, Ahmad Fatahillah, Ikhwan Aulia Fernando, Zico Junius Fernando, Zico Junius Firman Fuad Wirakusumah Firmansyah Firmansyah Firmansyah, Frimansyah Gading, Patrick William Galih Purwo Gisnan, Fayyaz Aqsadia Guslaini Guslaini Hadi, Husni Abdul Hadziq, Fikran Haikal Gibran Sudarma, Muhammad Harahap, Asro Hayani Hasmita, Debby Helda Rahmasari Helda Rahmasari Herlita Eryke, Herlita Herlita Herlita Eryke Hiskia Hiskia, Hiskia Hulwa Atika Adilita Huntari Harahap Ismi Nurwaqiah Ibnu Jauhari, Rifqie Jinan, Riyadil Joni, Meidrin Jonny Simamora Karo, Lidia Br. Kesty, Cindy Kuwanto, Hiroyuki Lidia Br Karo Lidia Br. Karo M. Abdi M. Yamani Mardian, Lutfi Miranda, Melly Moniga, Agra Farellio Muhammad Abdi, Muhammad Muhammad Rusdi Mulyadi, Deri Nadi, Luh Navaro, Reeno Nopridayanti, Nopridayanti Nyimas Natasha Ayu Shafira Octaviani, Jelica Pamungkas, Tegar Firman Priswantoro, Andis Putra, Yagie Sagita Putri, Nadhilah Aulia Rahmasari, Helda Ramatillah, Diana Laila Randy Pradityo Randy Pradityo Rina Nofri Enis Rita Halim Rusli Rachman Samhori Samhori Sastrawan, Rusydi Sherly Mevitasari Sudarti . Sutrisno, Muhammad Al Farisi Suzan, Raihanah Syaiful Anwar Syukur, Astian Nathaniel Tarawifa, Susan Tengku Arief Buana Perkasa Titik Hindriati, Titik Usman Usman Vivi Tri Kasih Wahyu Indah Dewi Aurora Yagie Sagita Putra Yusuf Yusuf